Headpieceless hearing assistance apparatus, systems and methods with distributed power

ABSTRACT

Hearing assistance apparatus, systems and methods that involve the use of distributed power without the use of a headpiece.

BACKGROUND 1. Field

The present disclosure relates generally to hearing assistance devicessuch as, for example, implantable cochlear stimulation (“ICS”) systemsand hearing aids.

2. Description of the Related Art

A wide variety of hearing assistance devices are available. Such devicesinclude, but are not limited to, ICS systems and hearing aids.

ICS systems are used to help the profoundly deaf perceive a sensation ofsound by directly exciting the auditory nerve with controlled impulsesof electrical current. Ambient sound pressure waves are picked up by anexternally worn microphone and converted to electrical signals. Theelectrical signals, in turn, are processed by sound processor circuitry,converted to stimulation data (e.g., a pulse sequence having varyingpulse widths and/or amplitudes), and transmitted to an implantedreceiver circuit of the ICS system. The implanted receiver circuit isconnected to an implantable electrode array that has been inserted intothe cochlea of the inner ear, and electrical stimulation current isapplied to varying electrode combinations to create a perception ofsound. Alternatively, the implantable electrode array may be directlyinserted into the cochlear nerve without residing in the cochlea.

Referring to FIG. 1, conventional ICS systems commonly include animplantable device 11 and an external sound processor 12 with a housing14, sound processor circuitry 16, a microphone 18 that is incommunication with the sound processor circuitry, and a battery or otherpower supply 20. In the type of ICS system illustrated in FIG. 1, thesound processor is worn behind the ear (a “BTE sound processor”) andincludes an earhook 22. The sound processor 12 transmits stimulationdata, as well as power from its power supply 20, to the implantabledevice 11 by way of an inductive link. To that end, ICS systems includea headpiece 24 that is connected to the sound processor 12 by a cable26, and the implantable device 11 has a positioning magnet (not shown)that keeps the headpiece properly positioned relative to the implantabledevice. The headpiece 24 has a coil antenna that is used to connect theheadpiece (and BTE sound processor by way of the headpiece) to theimplantable device via an inductive link. So configured, the BTE soundprocessor provides sound processing functionality and also providespower for the entire ICS system. A representative ICS system isdisclosed in U.S. Pat. No. 5,824,022, which is entitled “CochlearStimulation System Employing Behind-The-Ear Sound processor With RemoteControl” and incorporated herein by reference in its entirety. Examplesof commercially available ICS sound processors include, but are notlimited to, the Advanced Bionics™ Harmony™ BTE sound processor. OtherICS systems are configured such that all of the external components(e.g., the battery, the microphone, the sound processor, and the coil)are carried within a single headpiece. One example of such a system isdisclosed in U.S. Pat. Pub. No. 2010/0046778, which is entitled“Integrated Cochlear Implant Headpiece” and incorporated herein byreference in its entirety.

Hearing aids include a microphone, sound processor circuitry, and aspeaker (sometimes referred to as a “receiver”). Here too, ambient soundpressure waves are picked up by the microphone and converted intoelectrical signals. The electrical signals, in turn, are processed bysound processor circuitry. The processed signals drive the speaker,which delivers amplified (or otherwise processed) sound pressure wavesto the ear canal. Exemplary types of hearing aids include, but are notlimited to, BTE hearing aids, receiver-in-canal (“RIC”) hearing aids,in-the-canal (“ITC”) hearing aids and completely in-the-canal (“CIC”)hearing aids. Examples of commercially available hearing aids include,but are not limited to, the Phonak™ Ambra™ hearing aid and the Phonak™Naida™ hearing aid.

The present inventors have determined that conventional ICS systems aresusceptible to improvement. For example, the present inventors havedetermined that some patients would benefit from an ICS system with anexternal sound processor that is smaller and lighter than thosecurrently available and that this may be accomplished by altering themanner in which power is stored and supplied within the ICS system. Thepresent inventors have determined that some patients would prefer an ICSsystem without a headpiece.

SUMMARY

A hearing assistance system in accordance with one of the presentinventions includes an implantable cochlear stimulator with a battery, ahearing assistance device with a battery, sound processor circuitry thatconverts electrical signals from a microphone into stimulation data, anda data communication apparatus configured to wirelessly transmit thestimulation data, and a retransmission apparatus, with a datacommunication apparatus, that wirelessly receives the stimulation dataand wirelessly transmits the stimulation data to the implantablecochlear stimulator. The system does not include a headpiece.

A hearing assistance system in accordance with one of the presentinventions includes an implantable cochlear stimulator with a battery, ahearing assistance device, with a battery, a microphone that convertssound pressure waves into electrical signals, and data communicationapparatus that wirelessly transmits the electrical signals, and aretransmission apparatus, with a data communication apparatus and soundprocessor circuitry, that wirelessly receives electrical signals fromthe hearing assistance device, converts the electrical signals from amicrophone into stimulation data, and wirelessly transmits thestimulation data to the implantable cochlear stimulator. The system doesnot include a headpiece.

A method in accordance with one of the present inventions includes thesteps of wirelessly transmitting stimulation data from an externalhearing assistance device associated with the user's head to aretransmission apparatus that is not a head-mounted device, andwirelessly transmitting the stimulation data from the retransmissionapparatus to a cochlear stimulator that does not include a soundprocessor and is implanted within the user's head. The method does notinvolve the use of a headpiece.

A method in accordance with one of the present inventions includes thesteps of wirelessly transmitting microphone-generated signals from anexternal hearing assistance device associated with the user's head to aretransmission apparatus that is not a head-mounted device, convertingthe microphone-generated signals into stimulation data with theretransmission apparatus, and wirelessly transmitting the stimulationdata from the retransmission apparatus to a cochlear stimulator thatdoes not include a sound processor and is implanted within the user'shead. The method does not involve the use of a headpiece.

A hearing assistance system in accordance with one of the presentinventions includes an implantable cochlear stimulator with a battery, aposition element, a power receiver apparatus, an electrode array, astimulation data receiver apparatus, and a stimulation processor, anexternal hearing assistance device with a battery, sound processorcircuitry that converts electrical signals from a microphone intostimulation data, and a data communication apparatus configured towirelessly transmit the stimulation data, and a head mountable powersupply with a battery, a magnet that is magnetically attracted to theposition element, and a power transmission apparatus operably connectedto the battery and configured to wirelessly supply power to theimplantable cochlear stimulator power receiver apparatus. Theimplantable cochlear stimulator is operable in a first stimulation modethat is powered by the implantable cochlear stimulator battery and isalso operable in a second stimulation mode that is powered by the headmountable power supply battery.

There are a number of advantages associated with such systems andmethods. For example, an implanted cochlear stimulator with its ownbattery facilitates a reduction in the size/weight of the externalhearing assistance device (e.g., a BTE sound processor) by an amountthat was heretofore attributable to the supply of power to the cochlearstimulator. The use of a retransmission apparatus reduces thetransmission-related power requirements of the external hearingassistance device (e.g., a BTE sound processor) and, in some instancesprovides sound processing functionality, which also facilitates areduction in the size/weight of the external hearing assistance device.The present apparatus, systems and method may also be implemented inelectric acoustic stimulation (“EAS”) systems where a hearing aid and acochlear implant are used together in the same ear. Systems includingthe head mountable power supply can operate despite the fact that theimplantable cochlear stimulator battery is not functioning properly.

The above described and many other features of the present inventionswill become apparent as the inventions become better understood byreference to the following detailed description when considered inconjunction with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

Detailed descriptions of the exemplary embodiments will be made withreference to the accompanying drawings.

FIG. 1 is a side view of a conventional ICS system with a BTE soundprocessor, a headpiece and a cochlear implant.

FIG. 2 is a plan view showing components of an ICS system in accordancewith one embodiment of a present invention.

FIG. 3 is a block diagram of a hearing assistance device in accordancewith one embodiment of a present invention.

FIG. 4 is a block diagram of an implantable cochlear stimulator inaccordance with one embodiment of a present invention.

FIG. 5 is a side view showing the ICS system as illustrated in FIGS. 2-4in use.

FIG. 6 is a block diagram of a hearing assistance device in accordancewith one embodiment of a present invention.

FIG. 7 is a block diagram showing components of an ICS system inaccordance with one embodiment of a present invention.

FIG. 8 is a plan view of a retransmission apparatus in accordance withone embodiment of a present invention.

FIG. 9 is block diagram of a retransmission apparatus in accordance withone embodiment of a present invention.

FIG. 10 is a block diagram showing components of an ICS system inaccordance with one embodiment of a present invention.

FIG. 11 is block diagram of a hearing assistance device in accordancewith one embodiment of a present invention.

FIG. 12 is block diagram of a retransmission apparatus in accordancewith one embodiment of a present invention.

FIG. 13 is a plan view showing components of an ICS system in accordancewith one embodiment of a present invention.

FIG. 14 is a block diagram of an implantable cochlear stimulator inaccordance with one embodiment of a present invention.

FIG. 15 is a block diagram of a power supply in accordance with oneembodiment of a present invention.

FIG. 16 is a side view showing the ICS system as illustrated in FIGS.13-15 in use.

DETAILED DESCRIPTION OF THE EXEMPLARY EMBODIMENTS

The following is a detailed description of the best presently knownmodes of carrying out the inventions. This description is not to betaken in a limiting sense, but is made merely for the purpose ofillustrating the general principles of the inventions.

The present inventions have application in a wide variety of hearingassistance devices and systems that provide sound (i.e., either sound ora perception of sound) to the hearing impaired as well as others whorequire such hearing devices on a situational basis. Examples of suchhearing assistance devices and systems include hearing aids and ICSsystems where an external sound processor communicates with a cochlearimplant. The present inventions are not, however, limited to suchdevices and systems and may be employed in combination with otherhearing assistance devices and systems that currently exist, or are yetto be developed.

One example of a hearing assistance system is the ICS system generallyrepresented by reference numeral 10 in FIG. 2. The exemplary ICS system10 includes an external BTE hearing assistance device 100 and animplantable cochlear simulator 200. The system does not include aheadpiece. Briefly, the hearing assistance device 100 suppliesstimulation data, but not power, to the cochlear simulator 200 by way ofa wireless link. The cochlear simulator 200 is powered by its ownbattery.

Referring also to FIG. 3, the exemplary BTE hearing assistance device100 includes a housing 102, a microphone 104, sound processor circuitry(“SPC”) 106, and a retention member 108. A speaker (not shown) may beprovided in some implementations. A volume control button 110 ispositioned on the exterior of the housing 102. The hearing assistancedevice 100 also includes a battery or other power supply 112 thatsupplies power to the sound processor circuitry 106 and other powerconsuming components of the BTE hearing assistance device. In theillustrated implementation, the power supply 112 is carried by aremovable battery holder (not shown) that is secured to housing 102 witha latch 114. In other implementations, a rechargeable battery may be apermanently housed within the hearing aid and the battery holder may beomitted. Such a hearing aid may be placed in a battery charger asnecessary.

There is also a wireless data link between the BTE hearing assistancedevice 100 and the cochlear simulator 200. In the illustratedembodiment, a data transmitter 116 drives a data antenna 118 to transmitstimulation data, but not power, to the cochlear simulator 200. The BTEhearing assistance device 100 does not supply power to the cochlearsimulator 200. The data transmitter 116 and data antenna 118 arecollectively referred to as a data communication apparatus and, in thoseimplementations where the BTE hearing assistance device wirelesslyreceives information (e.g., where status information is transmitted fromthe cochlear simulator 200 to the BTE hearing assistance device 100),the data communication apparatus would include a data transceiver and adata antenna. One example of a suitable data communication apparatus isa near field magnetic induction (“NFMI”) apparatus where a datatransmitter and coil antenna generate a short range, low-power,non-propagating magnetic field. Other types of wireless links, includingbut not limited to RF data communication apparatus, may also be employedto transmit stimulation data from the hearing assistance device 100 tothe cochlear simulator 200.

As illustrated in FIGS. 2 and 4, the exemplary cochlear stimulator 200includes a flexible housing 202 formed from a silicone elastomer orother suitable material, an internal stimulation processor 204, acochlear lead 206 with an electrode array 208, and a battery 210, suchas a high energy primary battery or a rechargeable battery. The cochlearstimulator 200 also includes data receiver apparatus which, in theillustrated implementation, consists of an antenna 212 and a receiver214. The stimulation processor 204 and receiver 214 may be located on acommon circuit board 216, or on separate boards. The antenna andreceiver 212 and 214 receive stimulation data from the hearingassistance device 100. The stimulation data is generated by the hearingassistance device 100 and is transmitted to the cochlear stimulator 200.The antenna 214 may be a coil antenna that is inductively coupled to thecoil antenna 118 of the hearing assistance device 100. The data receiverapparatus may be, for example, an NFMI data receiver apparatus or an RFdata receiver apparatus. Additionally, given that the system 10 does notinclude a headpiece, the cochlear stimulator 200 need not include apositioning magnet or other positioning element that maintains alignmentbetween the cochlear stimulator and a headpiece, the illustratedembodiment does not include such a magnet or other positioning element.There may, however, be instances where such positioning is useful and,accordingly, other embodiments of the cochlear stimulator 200 mayinclude a positioning magnet or other positioning element. One exampleof a system that includes a cochlear stimulator with a positioningmagnet is discussed below with reference to FIGS. 13-16.

In those instances where the battery 210 is a rechargeable battery, thecochlear stimulator 200 may be provided with power receiver apparatus.Power may be received by way of the coil antenna 212 or by way of aseparate antenna. Here, power from an external inductive rechargingapparatus (not shown) may be supplied to the battery 210 as necessary.

As used herein, a “stimulation processor” is a processor that convertsthe stimulation data from a sound processing device (e.g., the soundprocessor circuitry 106) into stimulation signals that stimulate theelectrodes of an electrode array (e.g., the electrodes in array 208). A“stimulation processor” does not itself convert electrical signals froma microphone into stimulation data and, therefore, is not a “soundprocessor.” It should also be noted that the exemplary implantablecochlear stimulator 200 is not a totally implantable cochlear implantsystem, nor is it part of such a system. To that end, the cochlearstimulator 200 does not include a microphone or sound processorcircuitry. The cochlear stimulator 200 relies on another device (here,the BTE hearing assistance device 100) for microphone and soundprocessing functionality.

During use of the exemplary system 10, and as illustrated in FIG. 5, theBTE hearing assistance device 100 is positioned behind the ear. There isa direct wireless communication between BTE hearing assistance device100 and the cochlear stimulator 200. The hearing assistance device 100and cochlear stimulator 200 are each powered by their own respectivebatteries 112 and 210. The hearing assistance device microphone 104picks up ambient sound pressure waves and converts them into electricalsignals. The electrical signals are the processed by the sound processorcircuitry 106 and converted to stimulation data (e.g., a pulse sequencehaving varying pulse widths and/or amplitudes). The hearing assistancedevice data transmitter 116 and antenna 118 establish a wireless linkwith the antenna 212 and receiver 214, so that the hearing assistancedevice 100 can transmit stimulation data, but not power, to the cochlearstimulator. The stimulation processor 204 converts the data intostimulation signals that stimulate the electrodes in the array 208. Theelectrode array 208 electrically stimulates the auditory nerve, therebyproviding the user with sensory input that is a representation ofexternal sound waves which were sensed by the microphone 104.

In at least some instances, it may be desirable for the BTE hearingassistance device 100 to wirelessly communicate with devices other thanthe cochlear stimulator 200. Examples of such auxiliary devices include,but are not limited to, remote controls, fitting apparatus, musicplayers, mobile phones and a contra-lateral hearing aid (or otherhearing assistance device). Such communication may be accomplished in avariety of ways. For example, communication by way of the datatransmitter 116 and antenna 118 may be time multiplexed. Alternatively,and referring to FIG. 6, the exemplary BTE hearing assistance device 100a is essentially identical to BTE hearing assistance device 100 andsimilar elements are represented by similar reference numerals. The BTEhearing assistance device 100 a may be used in place of the BTE hearingassistance device 100 in the system 10 in the manner described above.Here, however, an auxiliary transmitter/receiver 116 a and antenna 118 acreate a second wireless link with an auxiliary device. For example, thewireless link created with the transmitter 116 and antenna 118 couldoperate at a first frequency (e.g., 13 MHz) and the transmitter/receiver116 a and antenna 118 a could operate at a second frequency (e.g., 10.6MHz) to create a pair of high bandwidth wireless links. Electricalimpulses corresponding to sound are processed by the sound processor 106for transmission to the cochlear stimulator 200 in the manner describedabove, while control signals from a remote control or fitting apparatusare used to adjust the functionality of the BTE hearing assistancedevice 100 in conventional fashion.

There may be some instances where various factors, such as the locationof the components relative to one another on the user's head, the sizeof the hearing assistance device (such as a BTE, RIC, ITC and CIChearing assistance devices), and/or the power requirements of thehearing assistance device, make direct data transmission from thehearing assistance device to the implanted cochlear stimulator less thanoptimal. Here, a retransmission apparatus may be used to receivestimulation data from the hearing assistance device and to transmit thatstimulation data to an implanted cochlear stimulator. One example of asystem that includes such a retransmission apparatus is generallyrepresented by reference numeral 10 a in FIG. 7. The elements of system10 a are essentially identical to system 10 and similar elements arerepresented by similar reference numerals. For example, system 10 aincludes a BTE hearing assistance device 100 (or other external hearingassistance device) and an self-powered implantable cochlear simulator200. The BTE hearing assistance device 100 creates stimulation data thatis supplied to the cochlear simulator 200 by way of a wireless link.Here, however, the BTE hearing assistance device 100 transmits thestimulation data to a retransmission apparatus 300 and theretransmission apparatus transmits the stimulation data to the cochlearsimulator 200. There is no headpiece in system 10 a and, in particular,the retransmission apparatus is not a headpiece or an otherwisehead-mounted device. The transmissions may occur at differentfrequencies such as, for example, 2.4 GHz from the BTE hearingassistance device 100 to the retransmission apparatus 300 and 49 MHzfrom the retransmission apparatus 300 to the cochlear simulator 200. TheBTE hearing assistance device 100 may be a dual mode device that iscapable of transmitting at one frequency when the retransmissionapparatus 300 is employed and another frequency when it is not. Othersystems may include a pair of hearing assistance devices that transmitstimulation data at different frequencies. Here, the user will selectthe appropriate hearing assistance device depending upon the intendedmode of use.

The above-described arrangement is advantageous because theretransmission apparatus 300 need not be a head mounted device and,therefore, can include a much larger battery than a BTE hearingassistance device and, in turn, a sensitive receiver and a powerfultransmitter.

Turning to FIGS. 8 and 9, the retransmission apparatus 300 includes ahousing 302, an elongate antenna 304 that also functions as a lanyard sothat the retransmission apparatus can be worn around the user's neck,and a user interface 306. A transmitter/receiver 308, controller 310 andbattery 312 are located within the housing 302.

Another exemplary system that employs a retransmission apparatus isgenerally represented by reference numeral 10 b in FIG. 10. System 10 bis substantially similar to system 10 a and similar elements arerepresented by similar reference numerals. For example, there is noheadpiece in system 10 b. Here, however, the hearing assistance device100 b does not include sound processor circuitry. Instead oftransmitting stimulation data, the hearing assistance device 100 btransmits the electrical signals from a microphone to a retransmissionapparatus 300 b, which includes sound processor circuitry. The soundprocessor circuitry in the retransmission apparatus 300 b converts theelectrical signals from the microphone into stimulation data, and theretransmission apparatus transmits the stimulation data to theself-powered cochlear simulator 200 by way of a wireless data link.

Referring also to FIG. 11, the exemplary hearing assistance device 100 bis a CIC device that includes a housing 102 b configured to fit withinthe ear canal, a microphone 104, control circuitry 106 b, a battery 114and data communication apparatus (e.g., a transmitter 118 and an antenna120) that establishes a wireless data link with the retransmissionapparatus 300 b. In some implementations, a speaker may be provided. BTEand ITC hearing assistance devices may also be employed. The hearingassistance device 100 b does not include circuitry that generatesstimulation data. Instead, the data transmitted by the communicationapparatus is the electrical signals from the microphone 104. Turning toFIG. 12, the exemplary retransmission apparatus 300 b includes a housing302, an antenna 304 that also functions as a lanyard, and a userinterface 306. A transmitter/receiver 308, sound processing circuitry310 and battery 312 are located within the housing 302. The electricalsignals from the microphone 104, which are received by way of theantenna 304 and transmitter/receiver 308, are processed by the soundprocessing circuitry 310 in the manner described above with reference tosound processing circuitry 106. The resulting stimulation data istransmitted by retransmission apparatus 300 b to the cochlear simulator200. The respective transmissions from the hearing assistance device 100b to the retransmission apparatus 300 b and from the retransmissionapparatus 300 b to the cochlear simulator 200 may occur at differentfrequencies (e.g., 2.4 GHz and 49 MHz).

Some systems in accordance with the present inventions may be configuredto operate despite the fact that the implantable cochlear stimulatorbattery is not functioning properly. For example, the implantablecochlear stimulator battery may be a primary battery that has been fullydischarged, a rechargeable battery that has been fully discharged and isunable to recharge due to battery failure or lack of a recharger, or abattery that has simply failed for some other reason. One example ofsuch a system is generally represented by reference numeral 10 c in FIG.13. The exemplary ICS system 10 c includes the external BTE hearingassistance device 100 (described above) and an implantable cochlearsimulator 200 a, and those are the only two components that are employedunder the normal operating conditions described above with reference toICS system 10. In other implementations, RIC, ITC and CIC hearingassistance devices may be employed. Briefly, the hearing assistancedevice 100 supplies stimulation data, but not power, to the cochlearsimulator 200 a by way of a wireless link and the cochlear simulator ispowered by its own battery. Here, however, the system 10 c also includesan external head mountable power supply 400 that is used to supply powerto the cochlear simulator 200 a, by way of a wireless power link, inthose instances where the cochlear simulator battery is unable to powerthe cochlear stimulator.

The implantable cochlear simulator 200 a is substantially similar tostimulator 200 and similar elements are represented by similar referencenumerals. For example, as illustrated in FIGS. 13 and 14, the exemplarycochlear stimulator 200 a includes a flexible housing 202, an internalstimulation processor 204, a cochlear lead 206 with an electrode array208, a battery 210 a (high energy primary or rechargeable), and a datareceiver apparatus with a data antenna 212 a and a data receiver 214.Here, however, a power receiver apparatus with a power antenna 213 and apower receiver 215. The stimulation processor 204 and the receivers 214and 215 may be located on a common circuit board 216, or on separateboards. A positioning magnet 218 or other positioning device is adjacentto the power antenna 213. The antenna 212 a and receiver 214 receivestimulation data from the hearing assistance device 100. The antenna 212a may be a coil antenna that is inductively coupled to the coil antenna118 of the hearing assistance device 100. The data receiver apparatusmay be, for example, an NFMI data receiver apparatus or an RF datareceiver apparatus.

As illustrated in FIGS. 13 and 15, the exemplary external head mountablepower supply (or “headpiece power supply”) 400 includes a housing 402, abattery 404 (primary or secondary), a positioning magnet 406 that isattracted to the positioning magnet 218 of the cochlear stimulator 200a, power control circuitry 408 on a circuit board 410, a powertransmission apparatus including a transmitter 412 that drives a coilantenna 414 (or other suitable antenna). The power control circuitry 410controls the flow of power from the battery 404 to the transmitter 412and coil antenna 414. In the illustrated embodiment, the transmitter 412and antenna 414 generate a carrier with no data and form a close coupledinductive link with the power receiver antenna 213 of the cochlearstimulator 200 a. The housing 402 includes a battery replacement door(not shown) so that the battery 404 may be removed and replaced asnecessary. Alternatively, the secondary battery may be permanentlyhoused within the housing and the door may be omitted. Such a headmountable power supply may be placed in a battery charger as necessary.In the illustrated implementation, there is no on/off switch and thepower supply 400 operates so long as the battery 404 is not fullydischarged. An on/off switch may be provided in other implementations. Alow power indicator such as an LED may be provided in someimplementations. With respect to power transmission level, which istypically a function of the thickness of the skin between the powersupply 400 and the cochlear stimulator 200 a, the power level may bepreset as it is in the illustrated implementation. In others, a smallknob may be provided that allows the power level to be adjusted duringthe fitting process.

The power supply 400 is used solely to supply power to the cochlearstimulator 200 a and does not transmit cochlear stimulation data. Tothat end, the power supply 400 does not include a microphone or soundprocessor circuitry. The power supply 400 also does not communicate withthe hearing assistance device 100 and there is no cable connecting thepower supply to the hearing assistance device. It should also be notedthat the present head mountable power supply is commensurate in size andshape with a conventional ICS headpiece (e.g., is between about 0.25inch and 3 inches in diameter in some implementations and between about0.5 inch and 1.5 inch in other implementations) and is not a BTE deviceor other hearing assistance device, nor is it part of a BTE device orother hearing assistance device.

The circuitry of the cochlear stimulator 200 a includes apparatus (e.g.,switches and/or fuses) that may be used to electrically disconnect thebattery 210 a from some (e.g., the stimulation processor 204) or all ofthe remainder of the cochlear stimulator. Such apparatus may becontrolled by the hearing assistance device 100. Power for operation ofthe cochlear stimulator 200 a may be provided by the power supply 400,and the cochlear stimulator will operate in the manner described above.In other words, the cochlear stimulator 200 a is operable in a firststimulation mode (i.e., it converts stimulation data from the hearingassistance device 100 into stimulation signals that stimulate theelectrodes in the array 208) where the battery 210 a suppliesoperational power, and is also operable in a second stimulation mode(i.e., it converts stimulation data from the hearing assistance device100 into stimulation signals that stimulate the electrodes in the array208) where the battery 210 a is disconnected and the power supply 400supplies operational power. The circuitry of the cochlear stimulator 200a may also be used to recharge the battery 210 a with power from thepower supply 400.

In at least some implementations, the cochlear stimulator 200 a mayprovide the power supply 400 with information that can be used to, forexample, optimize power transmission to the cochlear stimulator byadjusting the transmission level to a level below the maximum level,when possible, to extend the life of the battery 404. For example,information concerning the current supply voltage of the cochlearstimulator 200 a may be used by the power supply 400 to modulate powerto the cochlear stimulator in real time. The information may be providedin a variety of ways. For example, a low data rate back telemetry linkfrom the cochlear stimulator 200 a, which is indicative of the tankvoltage of the implant (e.g., a single bit which indicates whether thetank voltage is at or below a predetermined level), may be used by thepower control circuitry 408 to modulate power from the power supply 400.Alternatively, the cochlear stimulator 200 a may be configured to alterits effective impedance as a function of the tank voltage. The effectiveimpendence can be detected by the power control circuitry 408 and usedto modulate power from the power supply 400.

In those instances where the cochlear stimulator 200 a of the exemplarysystem 10 c is being powered by the power supply 400 (FIG. 16), thehearing assistance device 100 is positioned behind the ear and the powersupply 400 is positioned over the implanted cochlear stimulator 200 a.The power supply 400 is not connected to the hearing assistance device100 by a cable. Nor is there wireless communication between the hearingassistance device 100 and the power supply 400. The attraction of thepower supply magnet 406 to the stimulator magnet 218 aligns the powersupply antenna 414 with the cochlear stimulator power receiver antenna213. Power from the power supply 400 is supplied to the implantedcochlear stimulator 200 a. The hearing aid microphone 104 picks upambient sound pressure waves and converts them into electrical signals.The electrical signals are the processed by the sound processorcircuitry 106 and converted to stimulation data (e.g., a pulse sequencehaving varying pulse widths and/or amplitudes). The hearing aid datatransmitter 116 and antenna 118 establish a wireless link with thecochlear stimulator data antenna 212 a and receiver 214 and transmit thestimulation data, but not power, to the implantable cochlear simulator200 a. The antenna 212 a and receiver 214 receive the stimulation dataand send the data to the stimulation processor 204 which, in turn,converts the data into stimulation signals that stimulate the electrodesin the array 208. The electrode array 208 electrically stimulates theauditory nerve inside the cochlea, thereby providing the user withsensory input that is a representation of external sound waves whichwere sensed by the microphone 104.

Although the inventions disclosed herein have been described in terms ofthe preferred embodiments above, numerous modifications and/or additionsto the above-described preferred embodiments would be readily apparentto one skilled in the art. By way of example, but not limitation, theinventions include any combination of the elements from the variousspecies and embodiments disclosed in the specification that are notalready described. It is intended that the scope of the presentinventions extend to all such modifications and/or additions and thatthe scope of the present inventions is limited solely by the claims setforth below.

1-37. (canceled)
 38. A hearing assistance method, comprising the stepsof: transmitting stimulation data generated by an external hearingassistance device that includes a battery to an implanted cochlearstimulator that includes a battery without use of a headpiece that isconnected to the external hearing assistance by a cable; andtransmitting power from a battery that is not the hearing assistancedevice battery to the implanted cochlear stimulator without use of aheadpiece that is connected to the external hearing assistance by acable.
 39. A hearing assistance method as claimed in claim 38, whereinthe power is wirelessly transmitted to the implanted cochlear stimulatorfrom a head mountable power supply, which does not generate, receive ortransmit stimulation data.
 40. A hearing assistance method as claimed inclaim 38, wherein the external hearing assistance device comprises abehind-the-ear hearing assistance device.
 41. A hearing assistancemethod as claimed in claim 38, wherein the external hearing assistancedevice comprises an in-the-ear hearing assistance device.
 42. A hearingassistance method as claimed in claim 38, wherein the implanted cochlearstimulator is operable in a first stimulation mode that is powered bythe implanted cochlear stimulator battery; and the implanted cochlearstimulator is operable in a second stimulation mode that is powered bythe transmission of power from the battery that is not the hearingassistance device battery to the implanted cochlear stimulator.
 43. Ahearing assistance method as claimed in claim 38, further comprising thestep of: converting electrical signals from a microphone intostimulation data with an external hearing assistance device.
 44. Ahearing assistance method as claimed in claim 38, wherein the implantedcochlear stimulator does not include a sound processor.